Medication Management Services

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Personalized Medication Management Solutions

At CHS, our clinical team plays an important role in providing medication management services to patients. Many patients knowingly or unknowingly require medication assistance for various reasons.

Medication Adherence Counseling

Rising healthcare costs are affecting patients nationwide. As employers and insurance companies face increasing expenses, they may adopt cost-sharing strategies, which can place additional financial burdens on patients. Clinical encounters involving financial hardship can be awkward and frustrating for both patients and healthcare providers. Financial burden is a significant cause of therapeutic failure, medication noncompliance, and the growing need for medication adherence counseling. As patients face higher out-of-pocket expenses, they may experience limited access to healthcare services. Central Health Solutions (CHS) has established the Patient Assistance Program, which includes medication monitoring services, the MTM Medicare program, and comprehensive medication management as patient-centered strategies to improve access to essential therapies and ensure continuity of care.

    • Discharged from the hospital/ nursing home
    • Multiple insurances
    • Multiple pharmacies
    • Therapeutic duplications
    • Drug Interactions
    • Specialty medications
    • Retail vs Mail order confusion
    • Patient assistance programs
    • Manufacturer programs enrollment
    • Medication reconciliation
    • Non adherence
    • Non compliance

In Research Published by the CDC*:

Costs of prescription medications are rising. Many patients have difficulty paying for their prescriptions, resulting in missing or delaying getting medication due to financial concerns. Cost-related nonadherence is high in the USA. Especially among people with chronic diseases. A total of 6%- 7% of US adults reported at least 1 form of cost-related nonadherence in 2014. In adults with type 1 or 2 diabetes, 25% reported underusing insulin in the previous year to manage costs, 3.2% reported rationing insulin daily, and 40% reported not discussing underuse with their physician.

Generally, nonadherence is associated with a greater risk for hypertension, hypercholesterolemia, elevated hemoglobin A1c levels in people with diabetes, and a greater risk for dyslipidemia and extended hospitalizations in patients with hypertension or CVD.

*Van Alsten SC, Harris JK. cost-related nonadherence and mortality in patients with chronic disease: A multiyear investigation, National Health Interview Survey, 2000–2014. Prev Chronic Dis 2020;17:200244. DOI: http://dx.doi.org/10.5888/pcd17.200244

Medication Reconciliation Services to Reduce Errors and the Cost of Care

Successful performance of medication reconciliation services has a positive impact on patient’s response to a hospital stay as well as it shows improvement in clinical quality and financial outcome.

Making a list of a patient’s current medicines, verifying it, and comparing it to the medication orders and the patient’s health condition significantly decreases errors. Successful medication management and solutions positively impact a patient’s response to a hospital stay. It also shows improvement in clinical quality and financial outcomes.

A pie chart from the AHRQ Patient Safety Network illustrating that more than half of patients have at least one unintended medication discrepancy at hospital admission. The chart shows 61% with no harm potential, 33% with moderate harm potential, and 6% with severe harm potential. Source: Medication Reconciliation, AHRQ Patient Safety Network.

Medication reconciliation has proven to be a significant challenge for organizations. If inaccurate medical history is recorded while offering medication management and medication regimen management solutions, the same record follows a patient throughout hospitalization. It can contribute to medication errors and increase costs of care.

Traditionally, organizations have utilized a variety of caregivers, including physicians and mid-level practitioners, to offer medication reconciliation services and complete the reconciliation process. The result being a fragmented process with sub-optimal accuracy.

CHS has developed a centralized platform for providing medication reconciliation services. Our pharmacist-driven approach, combined with personalized adherence programs, uses technology to improve accuracy while reducing overall costs.

Comprehensive Medication Management: Key Objectives of Our Plan

    • We use an external retail database to validate home medication lists and ensure compliance.
    • We communicate with patients and providers to generate the most accurate medication list, including all vitamins, OTC medications, and herbs.
    • We take into account all guidelines to generate the most accurate and comprehensive medication reconciliation report with all possible clinical interventions.
    • We provide a complete and comprehensive medication reconciliation report to covered entities upon request.
    • Our process identifies all possible clinical interventions and communicates directly with the patient’s healthcare providers.
    • After taking into account all guidelines, we generate the most accurate and comprehensive medication reconciliation report with all possible clinical interventions.
    • During the medication reconciliation process, we identify all possible clinical interventions and communicate directly with the patient’s healthcare providers.
    • We have the ability to report changes directly to the EHR.

Our Medication Reconciliation Plan Will Have the Following Objectives:

    • Our medication reconciliation plan aims to reduce hospitalization.
    • We aim to identify and reduce health-related adverse events through medication management services.
    • Driven by a licensed, full-time clinical pharmacist, we aim to provide complete and comprehensive medication reconciliation reports to covered entities upon request.
    • Our medication reconciliation process is driven by a licensed, full-time clinical pharmacist.
    • Our plan aims to reduce hospitalization.
    • Our plan aims to identify and reduce health- related adverse events.

Medication Counseling Support: The Scope of Our Services

    • Pre-hospital admission
    • Post-hospital discharge
    • Clinical practice ordering medication reconciliation for their chronic patients
    • Health plan ordering medication reconciliation for their patients
    • Home health agencies required to perform medication reconciliation